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NPI Code Detail

MEDICARE: AMINA SUPPORT-CARE LLC

MEDICARE: AMINA SUPPORT-CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1659076495
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMINA SUPPORT-CARE LLC
Provider Business Mailing Address
First Line : 1639 W NORTH BEND RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45224-2023
Country : US
Telephone Number : 513-612-0029
Fax Number :
Provider Business Practice Location Address
First Line : 1639 W NORTH BEND RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45224-2023
Country : US
Telephone Number : 513-612-0029
Fax Number :
Authorized Official
Title or Position : DOO
Name : LATIFAH BROWN
Credential :
Telephone Number : 513-612-0029
Provider Enumeration Date : 04/03/2023
Last Update Date : 04/03/2023

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Directions to “AMINA SUPPORT-CARE LLC ” Practice Location

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